Nomination Form - Self-Advocate Leadership of the Year Award

Nomination Form | Self-Advocate Leadership of the Year Award

Presented to a Self-Advocate in BC February 26th, 2021. For taking awesome advocacy action in 2020! Submission deadline: February 8th, 2021.
BC People First is proud to present the Self-Advocate Leadership of the Year Award. In celebration of someone who has shown exceptional leadership throughout the 2020 year in the field of advocating for the rights of people with intellectual or developmental disabilities.

This award showcases the importance of self-advocacy and encourages all Self-Advocates to continue to lead and to be inspired. A winner will be selected following the decision process. The winner will be announced at BC People First’s virtual conference event for self-advocates and people with intellectual disabilities, on February 26th, 2021. The winner will receive a $200 honorarium award (to assist in their advocacy efforts or learning this year) and an award plaque.

Nominee Eligibility:

Nominees are people in BC with intellectual or developmental disabilities who have completed exceptional self-advocacy and disability rights related work throughout the past year.

Nomination Guidelines:
- To nominate someone for the award please fill out this form as the Nominator. The person you are nominating is a Nominee for the award.
- The Nominator must ensure that the nomination information below is completed in full.
- The nomination will be judged based on the answers provided on this form.
- People can be nominated for the award by anyone: a peer, family member, staff, colleague, support worker, or friend. Nominators can nominate more than one person if they want.
- Completed nominations must be submitted by 5pm, Monday, February 8th, 2021 to be considered.
If you prefer a PDF copy of the form (printable) that you can send back to us, instead of this online form, please email us at bcpfcoordinator@gmail.com.
Name of Nominator (person nominating another for the award) *

First Name Last Name
Nominator Email *
example@example.com
Nominator Phone Number *
Please enter a valid phone number.
Nominator organization or relation to Award Nominee *
Where do you work or how do you know the person you are nominating for this award?
Name of Nominee, the person you are nominating for this award. *

First Name Last Name
Email of the person you are nominating for this award. *
example@example.com
Phone Number of the person being nominated. *
Please enter a valid phone number.
Is the Nominee a resident of BC? *

Yes, the person I am nominating lives in British Columbia
Nominee Consent *

Yes, the Nominee is aware their name is being put forward by me for this award and they understand that their photo and information submitted in the nomination questions below may be used in promotional materials and during the Award Presentation
Answer questions 1-5 to the best of your knowledge about the person you are nominating for this award.

Examples of achievement may include but are not limited to:
- Inspiring mentorship and guidance for people new to self-advocacy
- Innovative development of new or unique approaches or programs within the field of self-advocacy
- Board work, committee/task force involvement in the field of self-advocacy
- Teaching, writing, or presentations to raise awareness or advocate for policy change
- Participation in public advocacy campaigns or projects with local organizations
- Applying learnings from attended workshops or courses to their own lives and the lives of other self-advocates
Please provide as many details as possible in your answers.
Question 1: How does the Nominee advocate for their own needs or wants in their community? What have they accomplished this past year? *
Question 2: Does the Nominee volunteer at any local organizations that perform advocacy for people with intellectual disabilities? If so, how do they volunteer? *
Question 3: Please describe how the Nominee supports the efforts of other self-advocates in their community? *
Question 4: What makes this Nominee exceptional at self-advocacy or advocacy in general? *
Question 5: Describe how the Nominee has raised awareness about self-advocacy to others in their community. *
Photo (headshot style) of award Nominee *

Please include a photo of the person you are nominating for this award.
Cancel of
Nominator Declaration *

I declare that all the information provided on this nomination form is true and accurate to my knowledge. I also understand that BC People First might need to contact me to verify the answers I have provided in this nomination form.
Signature *

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Nomination Form | Self-Advocate Leadership of the Year Award